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As part of their obligation to deliver high-quality healthcare, nurses are required to communicate to the patients in the most precise way possible to ensure that there is a clear understanding between the two parties. There have been numerous cases, where the patient and the nurse failed to cooperate for the achievement of positive outcomes due to poor communication skills of the nurse (Radtke, 2013). Besides, when it comes to pediatric patients, anxiety is a common problem, which may further hinder effective communication. Furthermore, the tension between the pediatric patient's parent and the nurse may lead to the experience of pressure by the nurse, which may reduce the quality of healthcare and increase the risks for errors.

Nurse practitioners are trained healthcare experts with sufficient knowledge and expertise to administer treatment to their patients effectively. At the same time, they are supposed to be excellent communicators capable of turning a tense engagement into calm and reassuring interaction (Radtke, 2013). Therefore, the advanced nurse practitioners are obliged to supply the pediatric patients' parents with adequate factual information that will result in positive outcomes. Clear and precise nurse-patient communications are essential components of high-quality healthcare practices and must be the priority for all nurses. Consequently, elaboration of communication plans is an important and challenging task, which is likely to enhance the provision of quality healthcare services.

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Communication Plan

When creating a communication plan, the nurse practitioner must select the best mode of interaction, which would calm the tensed parent down first for effective and unbiased communication. Secondly, the mode of interaction must enable the nurse to take full control of the process to make rational decisions that are grounded on facts rather than opinions or suggestions of parents (Radtke, 2013). In the case of Mr. Smiths' four-year-old child, the nurse will use both verbal face to face and written communication methods to pass relevant information to him and ensure that the child receives the best care, which is important for recovery. It should be noted that Mr. Smith is very anxious about his child's condition, which makes communication complicated.

It is important to mention that Mr. Smith had used antibiotics to treat some illnesses in his child before, and the positive outcome of that approach may convince him that the same will work in this situation. Thus, the advanced nurse practitioner must note that Mr. Smith has already made his mind that an antibiotic must be among the prescribed medicines. The nurse may be regarded as incompetent if he/she fails or refuses to prescribe this drug. Therefore, for effective communication, the nurse practitioner should reassure that the child is in good hands to address the nervousness of the parent. Besides, after creating a calm environment, the nurse should deal with the healthcare problem and deliver the best care to the patient. The face-to-face conversation will provide the nurse practitioner with an opportunity to gather more information about the pediatric patient, which is crucial for the assignment of the best treatment (Radtke, 2013). The written communication mode will be used to describe the condition of the child for future references, prescribe the appropriate medicine, and advise the parent on the further steps.

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The nurse practitioner should note down his/her findings after careful examination of the pediatric patient with complaints of right ear pain, sneezing, mild cough, and low-grade fever of 100 degrees for the last 72 hours. For the advanced nurse practitioner, mildly rhythmic throat with no exudate, both ears mild pink tympanic membrane with good movement, and clear lungs will immediately indicate that the child is suffering from virus infection. Therefore, the nurse will explain his/her finding to the pediatric patient's parents, as well as his/her prescriptions (Swanson, 2011). However, it is important to realize that the parent has had a successful experience of antibiotic use, and thus, expects this medication to be within the prescription list. Thus, it will be the responsibility of the nurse to justify his/her decision not to include an antibiotic in the list of prescribed medicine.

Therefore, the nurse's communication at this point must be firm, but, at the same time, reassuring for the parent, so that he understood that the suggested treatment options meet the needs of the four-year-old child the best. Besides, the nurse must take time to explain to the parent in the simplest way possible that the child's condition is a result of a viral infection, hence it requires medicines that will fight the virus (Healthy Children, 2014). Additionally, the focal point of this communication should be upper respiratory infections, as well as their viral etiology, and the way, in which viruses and antibiotics interact. Hence, the nurse must explain to the parent that antibiotics are usually administered only in case of bacterial infections (Le, Barker, Irwin, and Sharland, 2015). Moreover, the negative consequences of antibiotics overuse and improper application, ranging from mild effects to child fatality, should be explained to the parent.

Furthermore, nurse practitioners are trained to embrace the evidence-based practice in their daily practitioners. Hence it will be sensible for the nurse to provide evidence for the parent that administering antibiotics may have adverse effects and further complicate the already improving condition (Le et al., 2015). Thus, it will be the responsibility of the nurse practitioner to recommend reading materials to the parent to strengthen his understanding. The nurse could also provide references to websites, that are accredited by the American Academy of Pediatrics, as well as the American Medical Association and Centers for Disease Control and Prevention, to provide more evidence about the effects of antibiotics application in similar cases (Radtke, 2013). Such websites may include Seattle Children's, as well as Healthy Children, which provide trustworthy information addressing the present medical case.

On the other hand, the nurse should recommend that the four-year-old should have bed rest for at least three days to monitor his/her reaction to treatment. However, if Mr. Smith insists on taking the child for the upcoming trip, the nurse must contact at least two clinics located in the trip area, where Mr. Smith can refer in case of any complications. Besides, the nurse practitioner must obtain Mr. Smith's contracts to conduct a follow-up on how the child is responding to treatment.

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Advance nurse practitioners must always provide the best healthcare practice, and effective communication between them and the patients, or the patients' family members, for the achievement of the best outcome. It is crucial to note that nurses usually have challenging experiences in their practice, that may suggest effective communication, thus ruining their healthcare services. Besides, nurses, often face patients and their family members, who have already made up their minds on the kind of care and prescriptions they want to be administered. In most cases, the client's demands are against the commonly accepted practice, and if the nurse meets their demands, the patient's conditions may be severely affected. On the other hand, adherence of the patient to the suggested treatment regimen, as well as effective communication with the nurse, are likely to be disturbed, if the nurse insists on her/his methods of treatment. However, such disagreements can be resolved by competent communication, resulting in patients receiving the best healthcare and the nurse becoming motivated for effective work. Therefore, nurses must have effective communication plans that aid in the delivery of the best care.

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